Meredith Widmark

2.312.C · Prior to working with children, the primary provider, applicant 2, equally qualified providers, qualified substitutes, and all staff members must complete a Department-approved training in standard precautions that meets current occupational safety and health administration (OSHA) requirements prior to working with children. This training must be renewed annually.

The provider's Standard Precautions training expired 3/10/26. Correction: Obtain documentation of a Department approved Standard Precautions training. Correct immediately by 3/11/26 and submit written statement of compliance with overall response by 4/11/2026. Correct by 03/11/2026

Corrected by Mar 11, 2026

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2.312.G · Prior to working with children, if working with children less than three (3) years of age, the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a department-approved prevention of shaken baby/abusive head trauma. This training must be renewed every two (2) years and can be applied towards ongoing annual training hours in the year that it is completed.

The provider's Shaken Baby training expired 1/15/26. Correction: Obtain documentation of a Department approved Shaken Baby training. Correct immediately by 3/11/26 and submit written statement of compliance with overall response by 4/11/2026. Correct by 03/11/2026

Corrected by Mar 11, 2026

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2.312.H · Prior to working with children the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a Department approved training about child abuse prevention, including common symptoms and signs of child abuse how to report, where to report, and when to report suspected or known child abuse or neglect within thirty (30) calendar days of employment. This training must be renewed annually.

The provider's Mandatory Reporter training expired 3/10/26. Correction: Obtain documentation of a Department approved Mandatory Reporter training. Correct immediately by 3/11/26 and submit written statement of compliance with overall response by 4/11/2026. Correct by 03/11/2026

Corrected by Mar 11, 2026

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2.312.P · Within ninety (90) calendar days of caring for children the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff must complete a Department- approved training regarding “Injury Prevention for Homes.” This course is required once and will count towards ongoing training requirements.

Observed the provider to be missing documentation of a Department approved "Injury Prevention for Homes" training. She had the Injury Prevention for Child Care Centers training. Correction: Obtain documentation of a Department approved Injury Prevention for Homes training. Correct and submit written statement of compliance with overall response by 4/11/2026. Correct by 04/11/2026

Corrected by Apr 11, 2026

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2.320.A.7 · An admission record must be completed for each child prior to or at the time of the child’s admission and updated annually or when any changes occur, unless otherwise specified in these rules. The admission record must include: A dated, written authorization for emergency medical care signed and updated annually by the parent(s) or guardian(s). The authorization must be notarized if required by the local hospital, clinic, or emergency health care facility;

Reviewed 8 children's files and observed 2 children to have expired emergency medical authorization. Correction: Obtain current emergency medical authorization for the children whose has expired. Correct immediately by 3/11/2026 and submit written statement of compliance with overall response by 4/11/2026. Correct by 03/11/2026

Corrected by Mar 11, 2026

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2.121.D.4.a · Criminal background check requests must be successfully completed prior to an individual caring for children or allowing the individual unsupervised access to children in child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt provider homes.

Provider's substitute has not been background checked. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member has reviewed the powerpoint within 24 hours. Submit

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2.313.A · Prior to working with children, unless otherwise specified in rules, personnel files for equally qualified providers, qualified substitutes, and all staff members must be available for review by the Department and must include:

Personnel file for substitute was not available for review. Correction: Prior to working with children, personnel files for subs must be available for review by the department. Correct immediately by 8/18/25 and submit written statement of compliance with overall response by 8/25/25. Correct by 08/18/2025

Corrected by Aug 18, 2025

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2.120.C.1.a · The Trails child abuse or neglect records request must be made on the state-prescribed form, accompanied by the required fee within the following required time frames: Child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt providers must meet the following: For all individuals whose activities involve the care or supervision of children or who have unsupervised access to children, requests must be submitted and successfully completed prior to caring for children or allowing unsupervised access to children.

Provider's substitute has not been Trails child abuse and neglect background checked. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member (sub) has reviewed the powerpoint within 24 hours. Submit documentation of TRAILS for staff member with written response to the Specialist. Correct by 08/18/2025 ________________________________________________ ________________________________________________

Corrected by Aug 18, 2025

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2.321.A.3 · Within thirty (30) days after admission, and within thirty (30) days following the expiration date, the parent(s) or guardian(s) of each child must submit a statement of the child’s current health status or written verification of a scheduled appointment with a health care provider. The statement of the child’s current health status must be signed and dated by a health care provider who has seen the child within the last twelve (12) months, or within the last six (6) months for children under two and one-half (2-1/2 ) years of age. The statement must include when the next visit is required by the health care provider. All health statements must be kept at the licensed family child care home.

Reviewed 8 children files and observed 1 child to have an expired health statement (exp:3/5/25) Correction: Obtain and maintain current and up to date health statements for all children enrolled. Correct and submit written compliance by 5/17/2025. Correct by 05/17/2025

Corrected by May 17, 2025

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2.336.C.1 · All hazardous items and materials must be inaccessible to children including, but not limited to, FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ office supplies, matches, plastic bags, cleaning and laundry materials, perfumes, curling irons, adult sharp scissors and knives, cosmetics, shaving lotions, hair products, poisonous plants, and all items labeled by manufacturer as “keep out of reach of children.”

During safety walk through, observed a container of Clorox wipes and Healing Ointment labeled "Keep out of reach of children" accessible to children (on counter and table) Correction: Ensure all items labeled "Keep out of reach of children" are inaccessible to children at all times. Correct immediately 4/17/2025. ***Corrected at time of visit by removing items. No response required. Correct by 04/17/2025

Corrected by Apr 17, 2025

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2.337.B.1.c · Loose fill resilient surface must be raked regularly to retain its resiliency and to retain a depth of at least six (6) inches.

During safety walk through observed resilient material around fall zone on playground equipment to be less than 1 inch. Correction: Ensure loose fill resilient material is raked on a regular basis to ensure there is at least 6 inches of depth. Correct immediately 4/17/2025 and submit written compliance by 5/17/2025. Correct by 04/17/2025

Corrected by Apr 17, 2025

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2.321.A.5 · Health statements for children over two (2) years to seven (7) years of age must be updated in accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric HealthCare or as required in writing by health care provider.

Reviewed 8 children's files and observed 2 children to have expired health statements. Correction: Obtain current health statements for the children whose have expired. Correct and submit written statement of compliance with overall response by 6/16/24. Correct by 06/16/2024

Corrected by Jun 16, 2024

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2.336.B.1 · Toys, toy parts, furnishings, equipment, and any materials accessible to children under three (3) years of age must not be a choke hazard or able to be inhaled.

Observed 6 magnets on a white board by the front door that fit in a choke tube and may pose a potential choke hazard. Correction: Toys, toy parts, and any materials accessible to children under 3 years of age must not be a choke hazard. Correct immediately by 5/16/24. Corrected at the time of visit by the provider removing the magnets from the white board.

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